Bradford Ence, MD
Otolaryngology · Payson, UTNPI 1588766299
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Intersect ENT, Inc. at 32.7% of the total. 2022 is the largest year on record at $136, 4.4 times the $31 reported in 2020. That places this record below the midpoint for otolaryngology clinicians in UT, where the typical reported total is $1,304.
Across 14 payments — averaging $18.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intersect ENT, Inc.$83
- Novo Nordisk$28
- Johnson & Johnson$25
- Stryker$24
- Biohaven Pharmaceutical Holding Company Ltd.$23
- Cranial Technologies, Inc$19
- plus $52 from 4 others
What the payments were for
- Food & beverage$253100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Intersect ENT, Inc. | 4 | $83 |
| Novo Nordisk | 2 | $28 |
| Johnson & Johnson | 1 | $25 |
| Stryker | 1 | $24 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $23 |
| Cranial Technologies, Inc | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
| Bolder Surgical, LLC | 1 | $13 |
| Acclarent, Inc | 1 | $12 |
| AstraZeneca | 1 | $12 |
How this compares
$253 in reported general payments places this provider in the 15th percentile of 104 otolaryngology providers in Utah.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Mupirocin | 11 | $61 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Payson
- John BitnerLayton$177K
- Steven MillerSalt Lake City$32K
- Michael WilsonSalt Lake City$16K
- Kevin WilsonDraper$13K
- Jerry SonkensSlc$12K
- Matthew DahlSalt Lake City$12K
- Seth RiddleProvo$10K
- Heidi HerasAmerican Fork$9K
- Douglas AndersonOgden$9K
- Scott ShipleyProvo$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.